仿生物电刺激联合瑜伽锻炼在产后腹直肌分离患者中的效果观察  

Eff ectiveness of biomimetic electrical stimulation combined with yoga exercise in patients with postpartum rectus abdominis separation

作　　者：邹爱琴 陈丽[1] 吴芳[1] 乐丽兰 余锦霞 范素萍 ZOU Aiqin;CHEN Li;WU Fang;LE Lilan;YU Jinxia;FAN Suping(The First People's Hospital of Fuzhou,Fuzhou 344000,China)

机构地区：[1]抚州市第一人民医院妇产科,江西省抚州市344000

出　　处：《护理实践与研究》2024年第5期759-764,共6页Nursing Practice and Research

摘　　要：目的探讨仿生物电刺激联合瑜伽锻炼对产后腹直肌分离(DRA)患者腹直肌肌电值、腰背疼痛的影响。方法选择2021年9月—2022年9月于抚州市第一人民医院就诊的产后130例DRA患者为研究对象,按照组间基本特征具有可比性的原则分为观察组和对照组,每组65例。对照组实施常规护理干预+仿生物电刺激,观察组实施常规护理干预+仿生物电刺激+瑜伽锻炼。初步干预时间均为5周。于护理干预前、干预2周、5周时对患者DRA间距、腹直肌肌电值及腰背疼痛进行评估。结果干预过程中,观察组2例主动退出研究,对照组1例出现其他疾病中止研究。最终观察组纳入63例,对照组纳入64例。观察两组患者干预前、干预2周、5周时的DRA间距,结果显示,两组观察对象三个时点各指标均呈逐渐降低的趋势,时间之间差异有统计学意义(P时间<0.05);干预2周、5周时各指标均以观察组低于对照组,差异有统计学意义(P组间<0.05),并且随观察时间延长,2周时差距最大,组间随时间变化的差异有统计学意义(P交互<0.05)。观察两组患者干预前、干预2周、5周时的腹直肌肌电值,结果显示,两组观察对象三个时点各指标均呈逐渐升高的趋势,时间之间差异有统计学意义(P时间<0.05);干预2周、5周时各指标均以观察组高于对照组,差异有统计学意义(P组间<0.05),并且随观察时间延长,组间差异逐渐增大,组间随时间变化的差异有统计学意义(P交互<0.05)。观察两组患者干预前、干预2周、5周时的VAS评分,结果显示,两组观察对象三个时点VAS评分均呈逐渐降低的趋势,时间之间差异有统计学意义(P时间<0.05);干预2周、5周时各指标均以观察组低于对照组,差异有统计学意义(P组间<0.05),并且随观察时间延长,组间差异逐渐增大,组间随时间变化的差异有统计学意义(P交互<0.05)。结论产后DRA康复护理中应用仿生物电刺激联合瑜伽�Objective To explore the eff ects of biomimetic electrical stimulation combined with yoga exercise on rectus abdominis muscle electromyography value,back pain in patients with diastasis recti abdominis(DRA).Methods 130 postpartum DRA patients admitted to the First People's Hospital of Fuzhou from September 2021 to September 2022 were selected as the study subjects,to divided into the observation group and the control group according to the principle of the basic characteristics between the groups were comparable,with 65 cases in each group.The control group implemented conventional nursing intervention+biomimetic electrical stimulation,and the observation group implemented conventional nursing intervention+biomimetic electrical stimulation+yoga exercise.The initial intervention time was 5 weeks.The patients'DRA interral,rectus abdominis EMG values and back pain were assessed before nursing intervention,at 2 weeks and 5 weeks of intervention.Results During the intervention,2 cases in the observation group voluntarily withdrew from the study,and 1 case in the control group discontinued the study after developing other diseases.63 cases were fi nally included in the observation group and 64 cases in the control group.Observation of the DRA interral of patients in the two groups before the intervention,at 2 weeks and 5 weeks of the intervention,the results showed that all indicators in the three time points of the observation subjects in the two groups showed a gradual decrease trend,and the diff erence between the times was statistically signifi cant(P<0.05).All indicators in the observation group were lower than that of the control group at 2 weeks and 5 weeks of the intervention,and the diff erence was statistically signifi cant(P<0.05),and the diff erence between the groups was gradually increased with the prolongation of the observation time,and the difference between the groups was statistically significant(P<0.05).The difference in the 2 week is the highest,and the difference between the groups over time was s

关 键 词：产后腹直肌分离 仿生物电刺激 瑜伽锻炼 腹直肌肌电值 疼痛 

分 类 号：R473.71[医药卫生—护理学]